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NPI Code Detail

MEDICARE: DJ GLOBAL SOLUTIONS LLC

MEDICARE: DJ GLOBAL SOLUTIONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory45D1071963TX

General Provider Information

NPI Number : 1023275823
Entity Type Code : Organization
Provider Name (Legal Business Name) : DJ GLOBAL SOLUTIONS LLC
Provider Business Mailing Address
First Line : 4015 SOUTH TEXAS AVENUE
Second Line :
City : BRYAN
State : TX
Zip : 77802-4022
Country : US
Telephone Number : 979-220-3854
Fax Number : 979-260-1052
Provider Business Practice Location Address
First Line : 4015 S TEXAS AVE
Second Line :
City : BRYAN
State : TX
Zip : 77802-4022
Country : US
Telephone Number : 979-220-3854
Fax Number : 979-260-1052
Authorized Official
Title or Position : CO OWNER
Name : MRS. DONNA GAYLE HARRIS
Credential : MEDICAL ASSISTANT
Telephone Number : 979-260-1024
Provider Enumeration Date : 05/20/2008
Last Update Date : 05/20/2008

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Directions to “DJ GLOBAL SOLUTIONS LLC ” Practice Location

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